| NPI | 1346688116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD459684) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT205158) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MT205158) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2018-10-26 |